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I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
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She has moderate to late stage dementia, we really don't want to go with the Anesthesia, due to past experiences this has put her through. We are not sure she would allow or understand the Novocaine. Any advice?
A dentist and dental hygienist are taught to ask for a thorough medical history and list of medications to know if a medical consult is needed with the person's doctor. We are taught to handle all types of patients. And yes, certain patients are not candidates for nitrous oxide. This was just an option I mentioned. Oral surgeons receive lots of training in IV sedation. This is not the same as general anesthesia which is done by an anesthesiologist or nurse anesthetist. IV sedation has been done for a very long time by O. surgeons. . It was used on me when I was 23 for wisdom teeth extractions 40 years ago. The dentist who does the extractions should be able to determine from meeting the patient and doing a medical review how best to treat the patient. Be there when they discuss the treatment so you can have questions and concerns answered. For those that said nitrous didn't work on them, that can be true. It is not always going to work and there's a whole list of reasons for that, but I won't go into because that's not the persons question. I hope this is helpful and relieves any anxiety. Once again IV sedation is not a general anesthetic. Also we are taught not to wave the needle around in front of your face. :)
In response to a previous comment about using an oral surgeon rather than a general dentist... I'd have to say that depends on the particular dentist and/or the prior relationship of the patient to that dentist or the caregiver. I had my own dentist extract a number of teeth, and due to previous experiences, trust him more than "specialist" oral surgeons... He is knowledgeable in a number of modern procedures and has a more "personal" and compassionate approach than some of the very busy and sometimes disconnected specialists can be. JMO...
Disregard the general. A good oral surgeon will evaluate the patient's condition, and use a good local, as suggested by Harpcat. Stay away from Versed, which was used as an anti-anxiety pre-op. No need for meds that will affect memory.
All of the above are good answers. Do you know your mom's general pain tolerance? I have an extremely low tolerance. A number of years ago while attempting to get a root canal, they used nitrous oxide gas (my 1st experience with it) and likely local anesthetic but I can't say for sure. The gas did NOTHING whatsoever even though it was supposedly at the highest allowable dosage. I literally grabbed the dentist (he was more than that, but I cant remember the title). Turns out the whole thing was a wash and had to be surgically removed while putting me under. Perhaps the pain level was due to the fact it was beyond a root canal. In contrast, my mom had a kidney stone we didn't know about until it became abscessed which then became septic because she didn't indicate she was in pain. How crazy is that? I've never had one but I hear they are extremely painful.
My point is, please be mindful of your mom's pain tolerance and convey that to all doctors, etc. involved to make it a good experience.
Hobbesmom...when a tooth has an abscess it is often impossible for local anesthesia to numb it due to the infection. Hence why we should try not to let it get to that point. Sometimes fear and anxiety prevents people from breathing the nitrous oxygen mixture deeply enough. Too shallow breathing coupled with mouth open for the procedure prevents good sedation.
Hi Harpcat, thanks for the info! It's not just a tooth issue for me, however. Every few years I get a severe muscle spasm in my middle back. Vicodin doesn't even touch it. A shot of dilaudid (sp?) is required as well as flexeril. My overall point was that some people have higher or lower tolerances for pain and that should be considered.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
My point is, please be mindful of your mom's pain tolerance and convey that to all doctors, etc. involved to make it a good experience.